Individual provider Active NPI

Alice Yvonne Felder-Smith

  • Registered Nurse
  • Rochester, NY
National Provider Identifier
1134472335
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
501278-1 Issued in NY
Practice address
130 Grecian Gardens Dr Apt B
Rochester, NY 14626-2606
Phone
(585) 355-4876
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 501278-1 NY Primary

Addresses

Primary practice location

130 Grecian Gardens Dr Apt B
Rochester, NY 14626-2606

Mailing address

130 Grecian Gardens Dr Apt B
Rochester, NY 14626-2606
Phone (585) 355-4876

Other names 1

  • Ms. Alice Yvonne Felder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
501278-1NYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1134472335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GRECIAN GARDENS DR APT B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262606",
            "telephone_number": "585-355-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GRECIAN GARDENS DR APT B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262606",
            "telephone_number": "585-355-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER-SMITH",
        "first_name": "ALICE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "501278-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "FELDER",
            "middle_name": "YVONNE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.